标题：骶管注药术后患者体位对其临床疗效的影响

      作者：陈泽群 1，李义凯 2，王荣春 1，叶淦湖 1，屠永刚 1，谭平先 1
    （1.东莞市常平人民医院，广东 东莞 523573；
2.南方医科大学中医药学院，广东 广州 510515）

      卷次： 2012年23卷5期

      【摘要】 目的 观察骶管注药术后患者侧卧位对其疗效的影响。方法 69例下腰痛合并下肢放射痛患
者交替随机分为两组。两组患者都接受骶管注药治疗，治疗组：34例，骶管注药后采用侧卧位；对照组：35例，
骶管注药后采用仰卧位。所有患者注射前、注射后 6周接受VPS和ODI评分。结果 两组患者都有不同程度
的改善，治疗组的VPS改善程度优于对照组（P=0.000 07），但两组的ODI改善差异无统计学意义（P=0.14）。
结论 骶管注药后患者向患侧侧卧位更能缓解疼痛，应用于骶管注药术中可帮助获得更好的临床疗效。

      【关键词】 骶管注药；放射性下肢痛；患者体位

      【中图分类号】 R452 【文献标识码】 A 【文章编号】 1003—6350（2012）05—031—03<

br>Effect of patient positioning on the outcome of caudal epidural injections.
CHEN Ze-qun 1*, LI Yi-kai 2, WANG
Rong-chun 1, YE Gan-hu 1, TU Yong-gang 1, TAN Ping-xian 1. 1. Department of Hand Surgery, Changping People's
Hospital of Dongguan City, Dongguan 523573, Guangdong, CHINA; 2. School of Chinese Medicine, Southern Medical
University, Guangzhou 510515, Guangdong, CHINA

【Abstract】 Objective To investigate the effect of the lateral decubitus position on the clinical efficacy of caudal
epidural injection. Methods Sixty-nine patients with low back pain complicated with radicular leg pain were randomly al-
located into two groups. Patients in the study (n=34) placed in the lateral decubitus position after caudal epidural injection
for, while those in the control group (n=35) laid supine after injection. Patients were assessed for the Verbal Pain Score
(VPS) and the Oswestry Disability Index (ODI) before injection and 6 months after injection. Results The VPS and ODI
in the both groups demonstrated improvement after injection. The degree of improvement in VPS was significantly greater
in the study group than the control group (P=0.000 07), while the degree of improvement in ODI showed no statistically
significant difference between the two groups (P=0.14). Conclusion Laying a patient on the side of their leg pain after
caudal epidural injection has a beneficial effect on pain relief.

      【Key words】 Caudal epidural injection; Radicular leg pain; Patient positioning
基金项目：东莞市科技局医疗卫生单位科研计划资助项目（编号：200910515025）